Pulley ruptures

A4 Pulley rupture with abnormal distance between the flexor tendon and the middle phalanx increasing during flexion (bowstringing)

Clinical information

Trauma during rock climbing

Ultrasound Images & Clips

A4 Pulley rupture with abnormal distance between the flexor tendon and the middle phalanx increasing during flexion (bowstringing)

Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Normal finger during extension longitudinal
Normal finger during extension longitudinal
Normal finger during flexion longitudinal
Normal finger during flexion longitudinal
Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Abnormal distance between the flexor tendon and the middle phalanx transverse
Abnormal distance between the flexor tendon and the middle phalanx transverse

A4 Pulley rupture with abnormal distance between the flexor tendon and the middle phalanx increasing during flexion (bowstringing)

Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Abnormal distance between the flexor tendon and the middle phalanx longitudinal
Normal insertion of the deep flexor
Normal insertion of the deep flexor
Normal position of the tendons at the PIP joint
Normal position of the tendons at the PIP joint
Normal position of the tendons at the MCP joint
Normal position of the tendons at the MCP joint

Details

  • Sex: Male
  • Age: 27
  • Body part: Finger

Created with

  • Hitachi Ultrasound System